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ORIGINAL ARTICLE
Year : 2015  |  Volume : 3  |  Issue : 3  |  Page : 65-69

Trauma scores and outcomes: A study of 2541 patients in level I trauma center of a developing country


Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Maneesh Singhal
Department of Surgical Disciplines, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2320-3846.178676

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Background: This study was undertaken with an aim to study the efficacy of trauma scores in predicting the outcome. Developing countries have higher number of automobile accidents due to increasing use of faster automobiles. Prehospital care and transportation victims have its limitations. We hypothesized the existing trauma scores devised in the developed nations will not be useful in the developing countries. Subjects and Methods: This prospective observational study of 1 year was done in the Emergency Department of a Tertiary Care Centre in which 2541 trauma victims were studied. The demographic profile and pattern of injuries with outcome were studied and the data were analyzed on the basis of trauma score-injury severity score (TRISS). Appropriate statistical tests were used for analysis, and P < 0.05 was considered significant. Observations and Results: Young male patients with a mean age of 30.49 years formed the commonest group. Road traffic crashes were the most common cause of trauma which was followed by injuries due to fall from height. Head injury was responsible for the death of the highest number of victims. Spleen was the most common organ injured in abdominal injuries. In our study, 41.1% deaths could not be explained by the TRISS methodology. We had four victims who survived contrary to the predictions of the methodology. TRISS was found to be less reliable in severely injured groups (ISSs >20 and Glasgow Coma Scale ≥12). Conclusion: This study supported the view that pre-hospital care received by the victim at the accident site or during transportation to a tertiary care center should also be considered in predicting the outcome by any ISS. We propose that larger studies are required to devise a newer scoring system for the evaluation of outcome of trauma care.


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